Individual
HASIF AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2095 HILLSIDE RD UNIT 1173, STORRS, CT 06269-1110
(860) 486-2724
Mailing address
32 ELRO ST, MANCHESTER, CT 06040-4228
(860) 830-4620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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